發展臺灣醫院護理師工作滿意度量表與信效度檢測

Development and Testing of the Taiwanese Hospital Nurses' Job Satisfaction Scale

背景：工作滿意度是護理師對個人在護理專業表現、工作調適及對執業環境的滿意程度，然而目前缺乏從台灣醫療環境發展，並且適用於醫院評量護理師工作滿意度的工具。目的：發展醫院護理師工作滿意度量表，並進行信效度前驅檢測。方法　採三階段橫斷式研究設計，第一階段為文獻查證及專家會議討論，彙整題項並建構量表初稿；第二階段由專家進行內容效度測試；第三階段以方便取樣方式選取6家不同層級的醫院，由427位護理師完成測試，然後進行項目分析、建構效度及內在一致性檢定。結果　本量表共有31題，分為：支持性執業環境、專業自主與發展、人際互動與合作、主管的領導風格、以及護理工作的負荷等五個構面，整體量表內在一致性為.96。結論／實務應用　本研究發展的量表具有合宜的信效度，可有效評估醫院護理師對工作的滿意度。

Background: In the context of professional nursing, the concept of job satisfaction includes the degree to which a nurse is satisfied with the nursing profession, his/her personal adaptation to this profession, and his/her current working environment. No validated scale that addresses the job satisfaction of nurses working in hospitals currently exists in Taiwan. Purpose: To develop a reliable and validated scale for measuring the job satisfaction of hospital nurses in Taiwan. Methods: A three-phase, cross-sectional study design was used. First, a literature review and expert focus group discussion were conducted to develop the initial scale items. Second, experts were invited to validate the content of the draft scale. Finally, convenience sampling was used to recruit 427 hospital nurses from 6 hospitals. These nurses completed the scale and the results were analyzed using item analysis, factor analysis, and internal consistency analysis. Results: The 31-item Taiwanese hospital nurse job satisfaction scale developed in the present study addresses 5 factors, including supportive working environment, professional autonomy and growth, interpersonal interaction and collaboration, leadership style, and nursing workload. The overall Cronbach's α was .96. The results indicate that the developed scale provides good reliability and validity. Conclusions / Implication for Practice: This study confirms the validity and reliability of the developed scale. It may be used to measure the job satisfaction of nurses working in hospitals.